Only the L-isomer should be used clinically, because exposure to the racemic D, L-carnitine has produced reversible myasthenia in uremic patients
Voynow, J
Chronic GLP-1 use in humans has recently been reported to cause expansion of both exocrine and endocrine pancreas and led to concerns about its unattended proliferative effects in these pancreatic tissues

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Increased Fertility and Reduced Effectiveness of Birth Control Excess weight can disrupt a womans menstrual cycle and ovulation